Organization
ATLANTA NEUROSCIENCE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN KOZINN M.D. (OWNER)
(770) 994-5176
Entity
Organization
Contact information
Practice address
261 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274-2522
(770) 994-5176
(770) 994-2954
Mailing address
261 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274-2522
(770) 994-5176
(770) 994-2954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016005
GA
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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